Organization
MIRA SCANLON, DDS. PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MIRA GIULIETTA SCANLON DDS (OWNER DENTIST)
(336) 500-4786
Entity
Organization
Contact information
Practice address
10 W 37TH ST FL 3, NEW YORK, NY 10018-7481
(929) 304-4937
Mailing address
3066 BRIGHTON 4TH ST APT 406, BROOKLYN, NY 11235-6588
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
09/08/2025
Last updated
09/08/2025
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